| NPI | 1730528217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 69547-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 69547-20) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125.063004) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-03-24 |